Organization Active NPI

CG Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1033405790
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
36244 Issued in CA
Legal business name
CG PHYSICAL THERAPY, INC.
Practice address
833 Dover Dr Ste 1
Newport Beach, CA 92663-5992
Phone
(949) 690-0601
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Chelsea L Gutmann, PT, DPTNPI 1215265541
Title
Owner/Physical Therapist
Phone
(949) 690-0601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 36244 CA Primary

Addresses

Primary practice location

833 Dover Dr Ste 1
Newport Beach, CA 92663-5992

Mailing address

833 Dover Dr Ste 1
Newport Beach, CA 92663-5992
Phone (949) 690-0601

Other identifiers 1

IdentifierTypeStateIssuer
1215265541OtherCANPI

National Provider Directory

National Provider Directory

Locations

833 Dover Dr
Ste 1
Newport Beach, CA 92663
Phone (949) 690-0601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1033405790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 DOVER DR STE 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635992",
            "telephone_number": "949-690-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 DOVER DR STE 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635992",
            "telephone_number": "949-690-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "GUTMANN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "949-690-0601",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "36244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215265541",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.